IZIMBANGELA ZOHLOBO 1 LWESIFO SIKASHUKELA: KUNGANI ZENZEKA KUBANTU ABADALA NASEZINGANENI - ISIFO SIKASHUKELA

Send

Isibalo sabantu abanesifo sikashukela siyakhula, yize kuthuthukiswa umuthi nokuvinjwa kokungasebenzi komzimba. Iminyaka lesi sifo esiqala ukuzizwa ngayo isiya ngokuya incipha. Lesi sifo singaphansi kokuqaphelisisa kodokotela, futhi izidakamizwa ezikhona zemithi zingalungisa kuphela inani le-glucose egazini.

Ukuvela kwesifo sikashukela kugwenywa kangcono. Kepha ngalokhu kufanele wazi ukuthi kungani kuthuthukiswa. Akukho mpendulo ephelele nokwezigaba kulo mbuzo okwamanje. Kepha ucwaningo olude lunikeza ithuba lokugqamisa izizathu eziningananeqhaza kulesi sifo.

Izimbangela zomzimba zalesi sifo

Yabantu abaphilile ushukela Kuyisici esinikeza amandla kumaseli obuchopho, izicubu, imicu yezinzwa. Ngemuva kokufakwa kokudla, kusatshalaliswa phakathi kwabo, ngenxa ye-insulin ye-hormone, ekhiqiza amanyikwe.

Ngaphansi kwezimo ezithile, amangqamuzana e-endocrine alesi sitho ayeka ukukhiqiza i-insulin ngesilinganiso esifanele. I-glucose eyethulwa emzimbeni ngokudla ayisatshalaliswa kuwo wonke izicubu, kodwa igxiliswe egazini lesiguli kumthamo omkhulu.

Ngenxa yokuntuleka kwe-insulin kwezicubu ze-adipose, kuphuka amafutha, inani labo esegazini liqala futhi ukwedlula okujwayelekile. Emisipha, ukuwohloka kwamaprotheni kuyanda, ngoba lapho kukhuphuka izinga lama-amino acid egazini. Isibindi siguqula imikhiqizo yokubola yezakhi zemizimba ibe yimizimba ye-ketone, esetshenziswa amanye izicubu zomzimba njengamandla alahlekile.

Yile ndlela isifo sikashukela sokuqala esikhula ngayo. Kwenzeka lapho angaphezu kwama-80% amangqamuzana akhiqiza i-insulin ehluleka.

Kuyenzeka ukuthi i-hormone ikhona ngobungako obudingekayo, futhi kwesinye isikhathi ngokweqile, kepha amaseli omzimba awakunaki. Lokhu kubizwa ngokuthi yi-insulin ukumelana. Kukhona ne-glucose eyeqile egazini, kepha amandla okuyibona futhi ayisuse emzimbeni iyanyamalala ezicutshini. Ingena kumchamo futhi iqedwe kanye nezinto eziwusizo emzimbeni. Njengomphumela wokungaziwa kwe-glucose kwezicubu, i-insulin ikhiqizwa sekwephuzile futhi iyeke ukufeza indima yayo kwinqubo yokutholwa kwayo.

Lezi zici zimpawu zohlobo 2 sikashukela mellitus, okuyi-90% yamacala alesi sifo futhi akhula ikakhulukazi ngemuva kweminyaka engama-40.

Izici ezifaka isandla ekuqaleni nasekuthuthukisweni kwesifo sikashukela

Zombili lezi zinhlobo zesifo sikashukela zinegama elivamile, kepha izizathu zokuvela kwazo zihlukile, ngakho-ke kufanele ucabangele ngayinye ngokuningiliziwe.

Ngiyathayipha

Lesi sifo siyakhula, imvamisa size sifike eminyakeni engama-35. Imvamisa, izimbangela ezibangela ukuthi zincike ezinqubweni ze-autoimmune emzimbeni. Bakhiqiza amasosha omzimba asebenza ngokumelene namaseli abo. Ngenxa yalokhu, ukukhiqizwa kwe-insulin kuyancipha futhi kuyeke. Izinqubo ezifanayo zenzeka ngesifo:

I-Glomerulonephritis;
I-lupus erythematosus;
I-Autoimmune thyroiditis.

Ukutheleleka ngegciwane nakho kungadala indlela yokuthuthukisa isifo sikashukela sohlobo 1 (ama-mumps, i-rubella, i-mononucleosis ethelelekayo).
Izifo zivusa ukukhiqizwa kwama-antibodies ngokumelene namaseli we-beta wamanyikwe. Kukhona ukungasebenzi kahle emsebenzini wakhe kanye nokwehla komkhiqizo we-insulin. Okuzala i-rubella ne-coxsackie virus hhayi nje ukudala ukwanda kwamaprotheni akhuphukayo, kodwa ubhubhise zonke izindawo zepancreas, ezingakwazi kepha ukuthinta amandla ayo okukhiqiza i-insulin.

Ukucindezela okukhulu kwengqondo kudala ukwanda kwe-adrenaline, okunciphisa ukuthambeka kwezicubu kwe-insulin. Futhi ukucindezeleka okungapheli - Isishayo sesimanjemanje, abaningi "baphatha" ubumnandi. Iqiniso lokuthi abathanda amaswidi bathambekele kakhulu kwisifo sikashukela liyinganekwane elisunguliwe, kodwa ngenxa yokuthi, ngokweqile, kuba yingozi. I-pancreas ijwayela ukusebenza ngemodi ebukhali ngemuva kwesizinda sokungafani kwamanye ama-hormone. Ngezinye izikhathi inani le-insulin lidlula inani elidingekayo, ama-receptors ayeka ukuphendula kuwo. Ngakho-ke, ukucindezeleka kwengqondo okungapheli kungabhekwa ngokuphephile, uma kungenjalo imbangela yesifo sikashukela, bese kuba yinto evusayo.

Uhlobo II

Kubonakala ngengxenye yabantu engcono, kepha muva nje isibalo saso sande kubantu besilisa. Odokotela bathi lesi sifo sikashukela kwesinye isikhathi sitholakala. Lokho wukuthi, izizathu zakhe zihlobene nendlela yokuphila:

Ukhuluphele. Ukusetshenziswa ngokweqile kokudla okunama-khalori aphezulu, okuhambisana nokungasebenzi, kubangela ukukhuluphala esiswini. Okusho ukuthi, amafutha atholakala okhalweni. Umzimba, ukhathele ukubhekana nenani likashukela oludonswe, uyeka ukubona i-insulin ebhekene nokufakwa kwayo;
Isifo se-Vascular. Lokhu kufaka phakathi i-arterial hypertension, isifo senhliziyo esi-coronary, isifo sokuqina kwemithambo yegazi. Izinkinga ngemithambo yegazi, ubunikazi bazo buzovusa amandla e-insulin;
Ungowomjaho weNegroid. Kwatholakala ukuthi abamele bayo kungenzeka bahlaselwe isifo sikashukela sohlobo 2;
Ukufakwa okungapheli kwezinto ezinobuthi. Ungadlala indima imvelo engasebenzikanye nokuthatha imishanguzo eminingi.

Ingabe inzalo iyisigwebo?

Isici esiyinhloko sentuthuko Uhlobo 1 sikashukela - Izifo ze-autoimmune - zizimisele ngofuzo.

Ngenxa yalokhu, lesi sifo sithathwa njengelifa. Umkhuba uveze ukuthi kubazali abane-diagnostic efanayo, izingane ezinesifo sikashukela sohlobo 1 zizalwa ngamaphesenti angama-80. Kepha futhi kunemindeni lapho izizukulwane eziningana zihlangabezana nalesi sifo, futhi ingane izalwa futhi iphila ngokuphelele.

Ukuncika kwefa elivela ngqo lapho Uhlobo 2 sikashukela akatholakali.

Kepha ngaphansi kwezimo ezifanele, ingane inomzali okungenani oyedwa Uhlobo 2 sikashukelaangakuthola ukuxilongwa okufanayo. Futhi uma umama nobaba begula, amathuba okuthola isifo sikashukela sohlobo 2 ezinganeni akhuphukele kuma-90%.

Ukuvimbela isifo sikashukela

Akekho okwazi ukushintsha izinhlobo zazo, ubudala nohlanga. Kodwa-ke, kungenzeka ukuthi ungafaki izinto ezivusa ukuvela kwalesi sifo:

Vikela ama-pancreas kusuka ekulimaleni nasemsebenzini ngokweqile. Ukuze wenze lokhu, kuzodingeka ugweme ukuphuza ushukela ngokweqile, ukuthola ukudla okuvamile. Lokhu kuzosiza ukuvikela ukuqala kwesifo sikashukela sohlobo 1 noma ukusibambezela ngesikhathi;
Landelela isisindo. Ukungabikho kwamafutha ngokweqile, okuthi amaseli akhe azwele kakhulu nge-insulin, cishe kuzodambisa ushukela wesifo sohlobo lwe-2. Uma ngabe isifo sitholakele selivele likhona, ukwehla kwesisindo ngo-10% kubala ukubalwa kwegazi;
Gwema ukucindezela. Ukungabikho kwalesi simo esidabukisayo kuzosiza ukugwema isifo sikashukela sohlobo loku-1 uma kungekho ifa elifanele;
Qaphela izifoekwazi ukuthinta kabi umsebenzi wamanyikwe kanye nokukhiqizwa kwama-antibodies ngokumelene namaseli awo.

Ukuba khona kwezinto okungenani ezintathu ezicasulayo, kanye neminyaka yobudala engaphezulu kweminyaka engama-40, kwandisa ubungozi bokuthola isifo sikashukela kuze kube ngama-85%. Kuhle kakhulu ebusheni, lapho kuba nokuqhuma kwehomoni yomzimba futhi kukhona ifa elinzima. Kepha ngokuphila ngendlela enempilo, kunamathuba okuwina lesi sifo noma, okungenani, ukhiphe imiphumela yaso emibi.

Send